SOLVED476

Lucy is a 6-year-old female who was brought to the clinic for worsening shortness of breath and chest tightness which caused her parents to keep her home from school today. Her mother reports Lucy has had a cough for “weeks” without a fever, which was attributed to seasonal allergies. Lucy first reported feeling short of breath yesterday after school, at which time she was also noted to have a cough. Her mom could hear her wheezing. This morning, Lucy reported a tight feeling in her chest and more difficulty breathing. Lucy’s mother reports she has experienced similar symptoms in the past year, causing her to miss school, but they had attributed her symptoms to viral exposures in school or the cold weather. Social history: Lucy is a kindergartener at a local elementary school. She lives with her parents, two sisters (ages 8 and 11), and their 15-year-old cat. (Physical Exam Vital signs: Temperature 99°F, heart rate 100 bpm, blood pressure 105/80, respiratory rate 34 breaths/minute, oxygen saturation 93% on room air. General: Alert but appears fatigued. Skin: Warm and dry. Eyes: Sclera and conjunctiva are clear. Pupils are equal. Nose: Clear rhinorrhea. Throat: Pharynx without injection. No tonsillar hypertrophy or
SCIENCE
HEALTH SCIENCE
NURSING

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